Works with pre-certification coordinator and patient care team to obtains prior authorization for scheduled tests, injections and procedures.

Responsibilities:

Enters the details related to assigned prior authorizations into practice's patient authorization tracker to initiate case. Secures and uploads any additional documentation needed to obtain prior authorization. Actively reviews updates to tracker to confirm status of all open requests, uploading payor specific responses in EHR and/or PM system. Ensures authorization is accurately captured within appointment within 2-3 days prior to scheduled test or procedure. Helps alert patient care team to facilitate a timely peer-to-peer review or appeal when in the patient's best interest. Notifies billing manager and administration if there are any patterns that may require a change in documentation, work flows, etc.

Requirements:

A High School Diploma is required. A minimum of 2-3 years experience in medical background required; at least 1 year of experience in pre-certification or insurance verification is preferred

Job Type:

Full-time Pay:

From $17.00 per hour

Benefits:

401(k) 401(k) matching Dental insurance Flexible spending account Health insurance Life insurance Paid time off Vision insurance

Experience:

Surgical pre-certification: 2 years (Required)

Work Location:

In person